Skip to main content Accessibility help
×
Hostname: page-component-5d59c44645-zlj4b Total loading time: 0 Render date: 2024-02-20T18:10:07.811Z Has data issue: false hasContentIssue false

Appendix 1 - Specific competencies

Published online by Cambridge University Press:  02 January 2018

Get access

Summary

Competencies for all psychiatrists

As specified for all doctors, plus the following.

• Full biopsychosocial assessment of patients, across the age range, with physical health problems, physical symptoms and mental health symptoms or psychological distress, including:

  • • somatisation/medically unexplained symptoms

  • • adjustment disorder

  • • the interrelationship of depression and anxiety on chronic medical conditions, for example diabetes, asthma, chronic obstructive pulmonary disease.

  • • Mental state examination in difficult circumstances:

  • • intensive care units

  • • breaking bad news

  • • variable conscious level

  • • lack of privacy.

  • • Assessment of self-harm across the age range, including children

    • To advise competently on the treatment of patients with chronic mental health problems while in the general hospital

    • Knowledge of medical and surgical treatments and conditions that have an impact on mental state

    • Anxiety, depression and psychotic states in in-patients in medical and surgical settings

    • Assessment of general medical and surgical admissions

    • Demonstrate knowledge of management of alcohol and substance misuse problems in medical and surgical settings

    • Diagnose psychiatric symptoms in the presence of confounding severe physical illness and biological symptoms (e.g. cancer, renal disease, severe trauma)

    • Implementation of appropriate management plans, including the use of basic psychological, social and environmental interventions as well as psychotropic use from the British National Formulary

    • Use risk assessment to advise management plan

    • Review notes and drug cards, including investigations and results

    • Awareness of medical, surgical and nursing assessment and management plan in the general hospital and its interaction with mental state

    • Assessment of patient in A'E

    • Identification of medically unexplained symptoms

    • Identification, investigation and advice on the immediate management of delirium

    • Basic management of patients with eating disorders in medical and surgical settings

    • Criteria for referral and signposting to other mental health services including liaison

    • Management of behavioural disturbance in medical and surgical settings including:

  • • assessment

  • • environmental measures

  • • use of appropriate drug treatments

  • • management of delirium tremens

  • • management of other drug withdrawal states.

  • Type
    Chapter
    Information
    Publisher: Royal College of Psychiatrists
    Print publication year: 2012

    Access options

    Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

    Save book to Kindle

    To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

    Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

    Find out more about the Kindle Personal Document Service.

    Available formats
    ×

    Save book to Dropbox

    To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

    Available formats
    ×

    Save book to Google Drive

    To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

    Available formats
    ×